• 한국병원경영학회지
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• 제25권2호
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• pp.45-56
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• 2020

Purpose: The purpose of this study is to investigate medical care behaviors influencing accuracy of the payment based New diagnosis-related groups (DRG) compared to fee for service (FFS) in hospitalized patients with medical illness. Methodology: In order to estimate the difference in medical costs between New DRG and FFS depending on medical care behaviors, medical records and hospital claims data (n=4,232) were utilized, which were collected from a single public hospital during the first-half of 2018. Data were analyzed by descriptive statistics, t-test, chi-square test, and multivariate binary logistic regression. Findings: The average difference in medical costs between New DRG and FFS were KRW 506,711±13,945 with incentives and KRW -51,506±12,979 without incentives, respectively. Forty-four point two percent (44.2%, n=1,872) of total subjects were shown to have negative compensation in overall medical costs with New DRG compared to the costs with FFS. Medical care behaviors that affected on the negative compensation were the presence of severe bed sores on admission, medical consultations, death, operations, medications and laboratory or imaging tests with unit price over KRW 100,000, hospital-acquired complications or underlying comorbidities, elderly patients (≧65 years), and hospitalized for more than average inpatient days defined by New DRG (p<0.001). The difference in average medical cost between New DRG and FFS for a group with mild illness was KRW -11,900±10,544, whereas it was KRW -196,800±46,364 for a group with severe illness (p<0.0001). Practical Implications: These findings suggest that New DRG payment model without incentives may incompletely cover the variation of medical costs in real clinical practice. Therefore, policy makers need to consider that the current New DRG reimbursement should be focused and refined to improve accuracy of payment on medical care resources utilized in severe and complex medical conditions.

• 한국환경보건학회지
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• 제46권2호
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• pp.224-231
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• 2020

Objective: The objectives of this study are to update the information on the characteristics of humidifier disinfectant (HD) usage with HD associated health problems and to discuss the role of HD exposure assessment in the national program to monitor health problems in patients with HD associated diseases. Method: A total of 201 HD associated patients who registered to undergo clinical examination at Kangbuk Samsung Hospital was interviewed to acquire their responses regarding several HD use characteristics, including type of HD brands used, HD use duration, average daily HD use hours, and the volume of the room in which HD was used. The responses of the HD associated patients to HD use-related questions were compared between responses in the lung injury investigation and this study. Results: The responses of HD associated patients in this study were found to be different from those in the lunginjury investigation. In particular, some of the patients who had not answered in the lung-injury investigation were able to answer thanks to assistance from the investigator in this study. For their responses regarding the name of the most commonly used HD brand, the number of patients who did not answer (N=11) was reduced to eight in this study. Significant changes in the responses of study subjects to questions related to HD use were achieved through the interview in this study. Conclusion: This study found significant changes in the responses regarding HD use characteristics. HD exposure assessment should be included in the program in order to allow surveillance of HD associated health problems.

• 한국융합학회논문지
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• 제6권6호
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• pp.9-15
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• 2015

본 연구는 노인요양시설에 근무 중인 요양보호사의 구강보건지식정도와 인식도를 조사하여 구강보건의료서비스의 질적 향상과 발전 방안 연구를 목적으로 실시하였다. 연구방법은 D광역시 소재 노인요양시설(10개소)에 근무하는 요양보호사 중 연구 참여에 동의한 163명을 대상으로 2015년 5월 1일부터 5월 31일까지 설문조사한 자료를 SPSS Statistics 18. 프로그램을 이용하여 분석 하였다. 그 결과 요양보호사들의 구강보건지식은 총점 26점 만점에 20.09점(77.2%)로, 가장 높은 지식은 '올바른 칫솔질 방법' 93.0%, 가장 낮은 지식은 '구강보조용품사용 지식' 58.1%로 조사되었다. 구강보건교육경험이 있는 사람이 구강보건교육 요구도가 높았으며 (P<0.001), 구강보건교육경험횟수가 많은 사람이 구강보건지식(P<0.001), 요구도(P<0.01), 인지도(P<0.05)가 높아 유의하였다. 요양보호사들의 구강보건인식정도에 영향을 주는 것은 구강보건지식점수(P<0.01), 구강보건교육 요구도(P<0.01)가 높을수록 구강보건인식정도는 높은 것으로 나타났다. 따라서 향후 요양병원 장기입원환자의 구강특성을 고려한 효율적, 지속적, 실질적인 요양보호사의 구강보건교육이 이루어 질 수 있도록 하여야 할 것이다. 또한 구강보건교육의 담당자로 치과위생사의 역할이 필요 할 것으로 전문 인력의 배치를 위한 국가의 제도적 지원도 함께 이루어져야 할 것이다.

• 한국융합학회논문지
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• 제11권2호
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• pp.167-174
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• 2020

사회적, 문화적 배경이 유사한 한국과 일본에서 선호하는 유튜브 콘텐츠의 특징과 성향에 대한 기초 데이터를 제공하며, 인기 콘텐츠 제작을 위한 힌트를 얻고자 양국의 인기 상위 250개의 유튜브 채널 콘텐츠를 조사, 분류하고 사회통계학적 접근 방법을 활용하여 유튜브 채널 운영 주체의 유형, 콘텐츠 채널의 분야별 분포, 한일 양국의 개인 유튜브 가입경과일과의 연관성에 대해 알아보았다. 그 결과, 한국은 방송사와 연예 기획사 등이 K-pop, 드라마, 예능 등의 한류 콘텐츠의 확산을 위한 글로벌 마케팅을 목적으로 한 홍보 영상을 제작, 채널 개설, 운영하는데 반해, 일본은 도구나 물건, 행동과 관련된 실험, 토크쇼, 일상 등을 소재로 하는 개인 유튜브 채널의 운영이 많고 분야별 다양성 및 독창성이 인정된다. 이는 일본 개인 크리에이터들이 이른 시기부터 니코니코동화(ニコニコ動画)와 같은 콘텐츠 운영 활동을 통해 콘텐츠의 독창성과 다양성을 기르기 위한 시간 확보가 가능했기 때문이다. 향후, 유튜브 영향력의 증대를 고려하여 개인 크리에이터들은 콘텐츠 소비자의 특성을 파악하여 감정적, 지식적, 경제적 가치에 기반한 다양한 시도를 해야 하며, 사회적으로는 1인 미디어 제작과 운영의 활성화를 위한 교육과 홍보 그리고 경제적 지원책이 필요하다.

• Korean Chemical Engineering Research
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• 제46권2호
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• pp.233-247
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• 2008

공정 모니터링 기술은 공정 내에서 일어나는 예상치 못한 조업변화 및 이상을 조기에 감지하고 조업 이상에 영향을 끼친 근본 원인을 밝혀내어 제거해 줌으로써 공정의 안정적인 조업과 양질의 제품생산의 기반을 제공하여 준다. 데이터에 기반한 통계적 공정 모니터링 방법은 양질의 공정 데이터만 주어진다면 통계적 처리를 접목하여 비교적 쉽게 모니터링을 할 수 있고 공정의 데이터 분석에 이용할 수 있는 도구를 얻을 수 있다는 장점이 있다. 그러나 실제 공정에서는 비선형성, non-Gaussianity, 다중 운전모드, 공정상태변화로 인해 기존의 다변량 통계적 방법을 이용한 공정 모니터링 기법은 비효율적이거나, 공정 감시 성능의 저하, 종종 신뢰할 수 없는 결과를 야기한다. 이러한 경우 기존의 방법으로는 더이상 공정을 정확히 감시할 수 없기 때문에 최근에 많은 새로운 방법들이 개발 되었다. 본 총설에서는 이러한 단점을 보안하기 위해 최근 주목할 만한 연구결과인 공정 비선형성을 고려한 커널주성분분석(kernel principle component analysis) 모니터링 기법, 주성분분석 모델 조합을 이용한 다중모델(mixture model) 모니터링 기법, 공정 변화를 고려한 적응모델(adaptive model) 모니터링 기법, 그리고 센서 이상진단과 보정의 이론과 응용결과에 대하여 소개한다.

• Journal of the Korean Data and Information Science Society
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• 제26권1호
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• pp.65-75
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• 2015

본 논문에서는 전문대 및 4년제 대졸 신규취업자의 임금을 결정하는 요인을 분석하기 위해 개인수준의 인적특성 변수들과 업종수준의 특성변수들을 사용하였다. 본 논문은 개인수준의 임금이 개인수준의 인적특성 (1-수준)과 업종 수준의 산업특성 (2-수준)에 의해 영향을 받는 다층구조 (multi-level)를 가지게 된다는 점을 주목하였다. 이와 같이 위계적 자료 특성을 가지는 복수의 분석단위 구조가 되면, 전통적인 회귀분석에서와 같이 개인수준의 임금이 독립이라는 가정을 할 수 없게 된다. 따라서 본 논문에서는 개인수준의 임금에 영향을 미치는 다층구조의 특성을 가진 변수들의 영향력을 보다 타당하게 분석하기 위한 방법으로 위계선형모형 (HLM; hierarchical linear model)을 이용하였다. 주요 결과는 다음과 같다. 첫째, 개인수준과 업종수준 변수들 모두를 포함한 다중대응분석의 결과에 의하면, 개인수준의 임금이 서로 다른 그룹에 대응되는 개인 특성 변수값과 업종 특성 변수값이 그룹별로 서로 상이하여 개인특성 변수만이 아니라 업종특성 변수도 개인수준의 임금에 영향을 미치고 있다는 점이 발견되었다. 둘째, 개인수준과 업종수준 변수들 모두를 포함한 의사결정나무분석의 결과에 의하면, 개인수준의 임금에 가장 많은 영향을 미치는 변수가 업종별 임금이고, 그 다음으로는 업종별 근로시간, 연령, 성별 등의 순으로 나타났다. 이와 같이 개인수준의 임금을 결정하는 데 있어서 업종의 특성이 매우 중요한 것으로 나타났다는 점은 위계적 선형모형의 활용이 타당하다는 것을 시사하는 것이다. 셋째, 개인수준의 인적특성과 업종 수준의 산업특성 변수들을 모두 포함한 모형이 다른 모형들에 비해서 모형 적합도가 가장 개선되어 위계적 선형모형이 적합한 것으로 나타났다.

• 초등상담연구
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• 제5권1호
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• pp.119-137
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• 2006

The purpose of this study is to develop a group counseling program to improve the learning habits of the elementary school children who experience difficulties learning, because of their wrong learning habits. To achieve it, the sub-elements of learning habits are set by "learning motive & attitude" and "learning technique" A group counseling program composed of the essential factors suitable for each element are srhseqrently, devised to pursue the improvement of learning habits. The study propositions are set as follows: Can the group counseling program improve the learning habits of elementary school children? 1. Can the group counseling program improve the learning motive and attitude of elementary school children? 2. Can the group counseling program improve the learning technique of elementary school children? The subject of this study is the 4th graders of W elementary school located in Gwangju Metropolitan City. After selecting 12 pupils from low scorers after a learning habits test, Each 6 of those are randomly assigned to an experimental group and a control group, respectively. In this way, they are pcrticipate in the group counseling program. The group counseling program is consisted of 10 sessions. The program is implemented for six weeks with a 50 min duration per session. As a measuring tool, a restructured test with only motive variables and technique variables, excluding remaining variables, from the Learning Habits Test by Choi Jong-Ryul (1992) is used for pre and post tests. The results of the study is acquired by integrating the statistics from the test tool. Observation of the counselor and testees' thoughts are as follows: The group counseling program affects the sub-elements of learning habits positively, namely learning motive & attitude and learning technique. The program applied in this study is effective in improving the learning habits of the pupils with lower learning habits. Accordingly, this program can be one of the methods to develop effective learning habits, set efficient strategies and exert abilities maximally for the learners, who did not adequately exert their abilities, due to wrong learning habits, while ineffectively learning without knowing effective learning habits. To improve and maintain the learning habits of the elementary school pupils, overall understanding should be backed in order to precisely analyze and identify the learning habits of the pupils. Besides, an association between schools and homes is also needed along with parents' concerns over their children's learning habits at home.

• 한국보건간호학회지
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• 제28권2호
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• pp.372-386
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• 2014

Purpose: This study was conducted in order to prove related practice factors of handwashing with soap and its practices by students in South Korea. Method: The subjects consisted of 700 students. Data were collected in Sep 2013 and were analyzed using descriptive statistics, chi-square test, and logistic regression analysis. Results: Total number of handwashing times was 7.5 per day. 65.1% of the students used soap and most of the students washed their hands for 20 seconds(31.1%). Self-evaluation, awareness of effect for prevention of infectious disease, and need for handwashing education were positive, but evaluation of toilet environment was negative. Most of the students washed their hands for 21 seconds(%), and methods of handwashing were not appropriate. Level of awareness was over 85% in most items. Practice differed significantly according to locations, pattern of school, self-evaluation, awareness of effect for prevention of infectious disease, need for education handwashing, and toilet environment. Conclusion: These findings indicate that the students learned methods of handwashing for its practice in South Korea, and they were considered as general characteristics of handwashing from students. In addition, results mentioned above will be reflected in development of educational programs for improvement of handwashing efficiency.

• 대한간호학회지
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• 제30권1호
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• pp.60-71
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• 2000

This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers. Results of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

• 기본간호학회지
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• 제4권2호
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• pp.283-300
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• 1997

This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.